Curated + Intentional Sessions for the Brain + Body
You Deserve More Than Symptom Management.
We facilitate unique experiences that accelerate your growth and return you back to your life— present, regulated and resourced.
Medical safety is the baseline.
Psychological safety, nuance and connection is the gold standard.
Neuroplastic Behavior Change
~ Ketamine-Assisted (Prep, Medicine Sessions + Integration) ~
~ Theta Wave Sessions ~
~ Private and Small Group Offerings ~
Integrative Psychiatry
~ Comprehensive Psychiatric/Ketamine Assessment
~ Pharmacotherapy + Med Management ~
~ Functional Nutritional Psychiatry + Sleep Disorder Management ~
Ketamine-Assisted Adaptive Behavioral Therapy
(Gianna + Domonique)
Our practice offers an innovative, multidisciplinary approach that combines the neuroplastic benefits of Ketamine-Assisted Therapy with the structured, data-driven methodology of Applied Behavior Analysis (ABA). Led by Gianna, a Board Certified Behavior Analyst (BCBA) with over 20 years of experience in behavior change, our Ketamine-Assisted Adaptive Behavioral Treatment (KAABT) program is specifically designed for individuals experiencing severe behavioral rigidities, deep-seated or problematic stimulus-response patterns, or significant deficits in adaptive daily living skills that have proven resistant to traditional therapeutic modalities.
The Synergistic Approach: Ketamine + Adaptive Behavior
Traditional behavioral therapy requires active cognitive participation and flexibility, which can be highly challenging for clients stuck in rigid, maladaptive loops. Ketamine acts as a powerful catalyst by temporarily disrupting these deeply ingrained neural pathways and fostering rapid neuroplasticity.
By introducing targeted adaptive behavioral interventions during this critical, highly receptive neuroplastic window, Gianna helps clients build new, more functional behaviors. This allows the individual to bridge the gap between profound psychological insights and measurable, everyday actions.
This specialized program is designed for individuals seeking relief from functional impairments related to:
Depression or anxiety that impacts daily living skills
Complex Trauma (PTSD) manifesting in severe avoidant behaviors
Rigid behavioral phenotypes or profound executive dysfunction
In addition to Gianna’s training in ketamine-assisted therapy and psychedelic harm reduction and integration (PHRI), her primary expertise lies in helping individuals turn insights and illuminations (which are sometimes unclear or esoteric) into clear, actionable and sustainable changes.
We work with each patient to design a treatment best-suited to needs based on a variety of factors, including goals, budget, timeframe and psychiatric history. For more information, please book a complimentary consultation at the link below.
NeuroSoma room access is complimentary for ketamine participants, and is an add-on support for other services. The space includes a BioMol red light for cellular respiration and joint health, Higher Dose heated PEMF mat, 40hz Gamma light, 4-8hz theta wave playlists, organic snacks and beverages, and more.
Theta Wave Session
(Gianna)
We understand that talk therapy doesn’t work for everyone, and that intellectualizing anxiety, depression or trauma may at some point result in a plateau, or even create an unnecessary focus on the symptoms you are trying to alleviate by reinforcing neural pathways associated with limiting beliefs and harmful stories.
In Theta Wave sessions, Gianna leads bespoke, trauma-informed experiences that alchemize and reconnect the brain and body, which use theta wave (deeply relaxed) states to metabolize, process and rewire the brain around specific events or general emotions or feelings of being “stuck”.
These sessions can be deeply fulfilling, and most members find relief and clarity within 1-2 sessions. However, they are not a replacement for traditional talk therapy or psychiatric support. Rather, they offer a unique and expanded state from which to gain perspective on learning histories, events and emotions.
Private MindBody Meditation Sessions
EXPANDED now offers one-of-a-kind experiences rooted in Gianna’s unique training on the East and West Coasts. Bridging science with spiritual, each private class is designed for individuals who want an additive and expansive “third space” — leaving you feeling restored, uplifted, educated and reconnected to your mind and body.
Ideal for those curious about expanded states, meditation, manifestation and modern health. Booked in packages of 6.
Psychiatric consultations can be cost-prohibitive, ranging between $500-$1,000 for an initial session in the DC Metro area. EXPANDED runs differently. In order to remove a common cost barrier to ketamine access, and to use your time investment wisely, we have built a rare and unique comprehensive assessment:
Detailed psychiatric evaluation, evaluating mental, emotional, and physical health factors contributing to psychiatric symptoms
Diagnosis of mental health conditions, if applicable
Assesses cognitive, emotional, and behavioral symptoms
Discuss nutritional deficiencies, inflammation, hormonal imbalances, and gut-brain
interactions
Evaluates social, medical, and psychological history
Incorporates genetic testing (e.g., pharmacogenomics) to personalize medication and supplement recommendations
EXPANDED Psychiatric Assessment
(Domonique)
Medication Management + Pharmacotherapy
(Domonique)
This service integrates the selecting and monitoring of medicine with critical patient education to achieve optimal therapeutic outcomes. These sessions are expertly tailored to meet your current needs and may include:
Prescription of psychiatric medications, including antidepressants, mood stabilizers, antipsychotics, anxiolytics, ketamine and other psychotropic drugs
Adjustment of dosages based on symptom response and side effects
Patient education on medication use, risks, and benefits
Functional Nutritional Psychiatry
(Domonique)
According to the Institute of Functional Medicine, the emerging field of nutritional psychiatry acknowledges a positive relationship between diet quality, mood and mental health. Recent research suggests that while nutritional habits, dietary patterns, and diet quality may all effect overall mental wellness, they may also be preventable or modifiable risk factors for mental disorders.
Your functional psychiatry sessions are tailored to your specific needs and may include:
Identify and address micronutrient deficiencies that impact mood and cognition (e.g., Vitamin D, B12, Omega-3s, magnesium, zinc)
Provides guidance on amino acid therapy for neurotransmitter support (e.g., 5-HTP for serotonin, L-tyrosine for dopamine)
Includes Integrative Pharmacology & Supplementation
Sleep + Circadian Rhythm Enhancement
(Domonique)
Circadian rhythms are closely linked to mental health, and managing them can help improve mental health outcomes. Disrupted circadian rhythms can contribute to mental disorders like anxiety, depression, and psychosis, and can also be an early sign of relapse for mental disorders. Psychiatric symptoms may also worsen with poor sleep.
Similar to our functional nutritional psychiatry sessions, each meeting is uniquely designed for your current needs and experiences. Your session may involve:
Assessing and manages insomnia, circadian rhythm disruptions, and sleep disorders secondary to psychiatric conditions
Learning and practicing cognitive-behavioral strategies for insomnia (CBT-I)
Prescription of non-controlled sleep medications as appropriate
FAQs
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EXPANDED is considered “out of network” with all insurance providers. However, you will receive superbills to submit to your insurance provider for all eligible visits. We cannot guarantee reimbursement for all services, as this decision is determined by your insurance carrier.
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Absolutely. EXPANDED warmly welcomes all individuals assigned female at birth (AFAB), including transgender, nonbinary, and gender non-conforming people. Our practice is designed to be a safe, affirming space that honors your identity while addressing your specific health needs and experiences.
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Yes. We welcome men who are seeking our services and who respect our female-focused environment. We're committed to providing excellent care to all of our community members
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We offer both in-person appointments at our Washington, DC office and convenient telehealth services via Simple Practice, a secure HIPAA-compliant platform. We currently serve patients throughout DC, Maryland, and Virginia.
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EXPANDED takes a comprehensive, behaviorally-informed approach that combines medical expertise with comfort, support and ease. Our KAABT sessions are 2 hours, providing you with plenty of time for breath work, hydration, your self-administered medicine time, post-journey support and notes, and a peaceful transition prior to returning home. While traditional infusion clinics focus primarily on medication administered in a highly medicalized setting over 45-60 minutes, our beautifully designed (organic, non-toxic and vegan wherever possible) wellness house is designed to feel like a safe and comfortable home, with amenities like a sound bar, noise-cancelling headphones, organic tea and water, individual eye masks, and more. Our approach emphasizes thorough preparation and integration, creating a supportive environment for deep healing work.
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Yes - while under medical supervision by a provider/doctor or nurse practitioner, and while working with a trained professional, ketamine is not only extremely safe, but has been shown to positively address social anxiety, depression and rigid behavioral patterns. You will self-administer dissolvable lozenges under your tongue instead of receiving an injection, which, for many, eases anxiety due to needles or the quick onset of an IV administration. We encourage any questions you have around ketamine’s medical safety profile.
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EXPANDED is ideal for individuals seeking a research-based, trauma-informed approach to healing and reclaiming their wellbeing.
This method may be right for you if you:
• Struggle with recurring patterns or behaviors that limit your progress.
• Are navigating major life transitions or seeking clarity in one or more areas of life.
• Want to shift old beliefs or resolve past trauma-induced behaviors through modern, evidence-based strategies that promote deeper exploration, self-awareness and insight.
• Are open to exploring emerging therapeutic modalities, including expanded states of consciousness.
• Seek a scientifically-grounded framework for treating anxiety, depression or if you experience strong rigid thinking patterns.
A Regenerative, Matriarchal Business Model for the Collective Good
Gianna is passionate about leveraging her education at Stanford University’s Graduate School of Business, where she studied Social Entrepreneurship. She dreamt of a business model that honored the spirit of this work by positively contributing to the collective. It made sense to build EXPANDED using a matriarchal, regenerative business model, so that individuals investing in their own healing and betterment would naturally contribute to someone in need.
A percentage of net profits are reinvested in pro bono or reduced-cost sessions to support individual, family and community mental health.
